MICHIGAN INNOVATIVE DIAGNOSTICS

Basic blood count evaluating red cell, white cell, and platelet parameters without a breakdown of white cell subtypes, typically used for routine monitoring when a differential is not clinically indicated.

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LIS PANEL CODE: (MID) Complete Blood Count, No Diff

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INDIVIDUAL LIS TEST CODES INCLUDED WITHIN PANEL: WBC, RBC, HGB, HCT, MCV, MCH, MCHC, RDW-CV, PLT, MPV

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CPT CODE: 85027

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ALIASES: CBC, CBC without Differential, CBC without Diff, Hemogram, PLT Count

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METHODOLOGIES: Hydrodynamic Impedance, Laser-Based Flow Cytometry, Sodium Lauryl Sulfate (SLS) Hemoglobin

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SPECIMEN:

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- Type: Whole Blood

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- Container: Lavender Top (K2/K3 EDTA) Vacutainer

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- Minimum Volume Required: 0.5 mL

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- Storage/Handling: Gently invert specimen 8 - 10 times immediately following blood collection to prevent clotting. Maintain specimen at room temperature or in the refrigerator until testing can be performed.

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- Stability:   

 

Room Temperature (20-25 °C): 1 day

Refrigerated (2-8 °C): 2 days (please note however that cellular degeneration can occur as soon as 24 hours post-collection)

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- Turnaround Time: 24 hours from receipt.

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Special Instructions: This panel does not include a white blood cell (WBC) differential and will not automatically reflex to a manual differential or peripheral smear review, regardless of result flags. If a differential is clinically indicated based on the total WBC count or other findings, it must be ordered separately as CBC with Auto Differential (CBCWD).

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REJECTION REASONS: Clotted Specimen, QNS, Gross Hemolysis, Gross Lipemia, Contamination, Stability Violation, Expired Container, Incorrect Container

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REFERENCE RANGES:​

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Males & Females < 2 years of age:

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White Blood Cell Count (WBC): 5.9 – 16.7 bill/L

Red Blood Cell Count (RBC): 3.24 – 5.08 trill/L

Hemoglobin: 10.2 – 16.6 g/dL

Hematocrit: 29.1 – 47.7 %

Mean Corpuscular Volume (MCV): 75.6 – 106.3 fL

Mean Corpuscular Hemoglobin (MCH): 26.0 – 36.4 pg

Mean Corpuscular Hemoglobin Concentration (MCHC): 33.6 – 35.7 g/dL

Red Cell Distribution Width (RDW-CV): 13.3 – 18.2 %

Platelet Count (PLT): 95 – 471 bill/L

Mean Platelet Volume (MPV): 7.3 – 9.9 fL ​​

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Males & Females 2 - 12 years of age:

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White Blood Cell Count (WBC): 4.8 – 13.5 bill/L
Red Blood Cell Count (RBC): 3.70 – 5.50 trill/L
Hemoglobin: 10.5 – 16.0 g/dL
Hematocrit: 29.0 – 48.0 %
Mean Corpuscular Volume (MCV): 74.0 – 99.0 fL
Mean Corpuscular Hemoglobin (MCH): 24.0 – 33.0 pg
Mean Corpuscular Hemoglobin Concentration (MCHC): 31.0 – 37.0 g/dL
Red Cell Distribution Width (RDW-CV): 11.5 – 15.0 %
Platelet Count (PLT): 150 – 450 bill/L
Mean Platelet Volume (MPV): 7.2 – 12.4 fL

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Males & Females 13 - 18 years of age:

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White Blood Cell Count (WBC): 3.7 – 13.0 bill/L
Red Blood Cell Count (RBC): 3.74 – 6.10 trill/L
Hemoglobin: 11.0 – 18.0 g/dL
Hematocrit: 31.4 – 52.0 %
Mean Corpuscular Volume (MCV): 78.0 – 102.0 fL
Mean Corpuscular Hemoglobin (MCH): 25.0 – 35.0 pg
Mean Corpuscular Hemoglobin Concentration (MCHC): 31.0 – 37.0 g/dL
Red Cell Distribution Width (RDW-CV): 11.5 – 14.7 %
Platelet Count (PLT): 150 – 450 bill/L
Mean Platelet Volume (MPV): 6.1 – 12.4 f

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Adults >= 19 years of age:

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White Blood Cell Count (WBC): 3.5 – 10.4 bill/L
Red Blood Cell Count (RBC): M: 4.29 – 5.71 / F: 3.90 – 5.14 trill/L
Hemoglobin: M: 13.2 – 16.9 / F: 11.7 – 15.2 g/dL
Hematocrit: M: 39.1 – 49.9 / F: 35.6 – 45.0 %
Mean Corpuscular Volume (MCV): 79.0 – 99.0 fL
Mean Corpuscular Hemoglobin (MCH): 27.0 – 34.0 pg
Mean Corpuscular Hemoglobin Concentration (MCHC): 31.0 – 36.0 g/dL
Red Cell Distribution Width (RDW-CV): 12.0 – 15.0 %
Platelet Count (PLT): 150 – 400 bill/L
Mean Platelet Volume (MPV): 9.2 – 12.4 fL

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Panic Threshold(s): Males & Females >= 1 year of age.

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WBC: <= 2.0 bill/L; >= 30.0 bill/L

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HGB: <= 7.0 g/dL; >= 20.0 g/dL

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HCT: <= 20.0 %; >= 60.0 %

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PLT: <= 50 bill/L; >= 1,000 bill/L

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